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96-648Council File # q�•��-�� Green Sheet � 34953 �����t��� � � ;, �;�E Ordinance # � 1 2 3 4 S 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2S 26 27 28 29 30 31 PAUL, MtNNESOTA Presented Re£erred To Committee: Date RESOLVED: That application, ID B-02589, for a new State Class B Gambling Premise Permit by West Side Booster Club at Awada's On Plato, 199 E. Plato Blvd., be and the same is hexeby appxoved. r� ��� s ��� Requested by Department of: Off+ce of License Inspections and Environmental Protection Adopted by Council: Date Adoption Certified by � s �.d�. ��c� 9f. Secretary Form Approved by City Attorney BY' � /�.i�wf�.�.� i/p—i� . / ) \ � $Y� � � �M.rr � \'.- .,�o�. Approved by Mayor: Date � �!" i���°7 Approved by Mayor for Submission to BY: Council By: * NEED COPV TMhfF.DTATF.T.V � qc.-cyr � DEPARTMENTIOFFICFJCOUN IL . DATE INITIATED GREEN SHEE N° 3 4 9 5 3" LIEP iNmnvon're --- - ---� iwnawnre CONTACT PERSON & PHONE � DEPAHTMENT DIRECTOR � CITY CAUNCIL ASSIGN CITYATTORNEY CT'CLERK William Gunther - 266-9132 �� � MUST BE ON GOUNCIL AGENDA BY (DATE) pOUTING O BUDGEf DIRECTOfl � FlN. & MG7: SERVICE$ DIR. Hearin : �- � 0 �� O MAYOFt (OR ASSI5TAIJn ❑ 70TAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION qEQUESTED: David J. Velasquez on behalf of West Side Booster Club requests Council approval of their application for a new State Class B Gambling Premise Permit at Awada's On Plato, 199 E. Plato Blvd. (ID 4FB-02589) RECOMMENDAnONS: Approve (A} or Reject (R) pER50NAL SERVICE C017TFiACTS MUST ANSWEH TNE FOILOWING QUESTiONS: _ PLANNING COMMISSION _ C1VIL SERVICE CAMM�SSION �� Has Mis person/firm ever worked under a contrect fOr this tlepartmBM? - _ CIB COMMITTEE YES NO _ S7AFF 2. Nas this persoNfirm ever been a city emplayee? — YES NO � DiSTRICT COURi _ 3. Does this person/firm possess a Skill not normally possessed by any curreM city employee? SUFPOATS WXICN COUNCIL O&IECTIVE7 YES NO Explain all yes answers on separate sheet end atteeh to green sheet INRIATING PROBLEM, ISSUE, OPPORTUNITV (Who. What, When, Where, Why�: ADVANTAGESIFAPPROVEU' DISADVANTAGES IFAPPROVEO: � $d$����'+`�'a� e'«.�' §�.!'i� 1�r • �••a qaw'v�l 34:,�ii E DISADVANTAGES IF NOTAPPROVED: TOTAL AMOUN7 OF iRANSACTION $ COSi/REVENUE BUDGETED (CIRCLE ONE) YES NO FUND�HG SOURCE ACTIVITY NUMBER PINANCIAL INFORMATION: (EXPLAIN) Greensheet # 34953 L.I.E.P. REVIEW CHECKLIST Date: / q G' G y� In Tracker? ��91� aaa�n aeceryad / App'n Processed ticense lD # B-02589 StaCe Ucense Type: State Class B Gambling Premise Permit Company Name: West Side Sooster Club pgp; West Side Booster Glub BusinessAddresss: 199 E. P1aYO Blvd. (Awada`s On Plato) BusinessPhone: Z22-7451 Contact Name/Address: David J. Velasquez, CEO Home Phone: 578-2830 2230 Cypress Dr. Woodbury 55125 Date to Council Research: Public Hearing Date:� [2 �(�L°cL3 Labets Ordered: Notice Sent to Applicant: District Council #: 03 Notice Sent to Public: Ward #: �2 Department/ Date Inspections Comments City Attorney Environmentai Health Fire License Site Plan Received:_ Lease Received: Police l��ecow� ���c�, Zoning �I -I,r1"�..4;; p�n" _�..ia�J,•: ,+li ,�:�`� . . .N.lM1-+�*Y's� J._� '°F i4• . . ._ ..... . . . ._ . ' .}i^,'. . _, 1 . . ' � " ". : . . - . _ _ _ � _ " . - -�'�� � '� �„'{ u. LG2�4 - '' ' ` FOR BOARD USE ONLY I _ :`-:`�. - ' "' � BASE # nnas,7 r-..-�'-:.:y:,-.:,__.�;,}:-�i.�`r:,,,.;.. .. _� .-.,- -",- - • - - ._ -. _ . . ' . ,; _ _, �;>�`�:$..^.:- ' ' . � - _ Y � .,� . .:,�- s _ �re. . . PP # � � �,. ,�FEE:;_:->, � . � _ � -- �. r - _-- > _ � �., ,es' : _ - _ - 'lCHECIC"%� � J _ � .� �nnesota Z.asi�.fui GambIang - � ; INITIAL&;>: Preuuses Permit Apphcation _Pait 1 af-2 --��_-.� �- _ � h- _ � `-�. _ . ` - DAT�� - � - - � � �- " � � -.�,:_, � .� - � � - _ � . 9X_.%"�r .F.'.:%:'rs� 7 , Il...v.��' ,.r _.__,�E. . _..sr �.,.5,'c.�s�.," .>.- rr . ,,. :;W� .?'�.'»�' ..,..:._. .,. ..>_,., v�..... .,.z•�;s....... - r.._.,_.. .,,._ c'"' _ __ v " - -?'3 , � e . Q(355 O� pf2fi11605 pBRI11R `� *�-� _ _ +°s'� Z e -� ' _ � _ ❑ ' ± R2neWa{ ;_ . +; ,'" -, " _ ' s -.. ' - (eheGk 0t1e) _ 1 __ _ _ l _ '�-'� ' _ Organization base C�cense number ,, =.- Q- A($400) Pulkabs 4pboards paddlewheels. raffles birgo _-, :._ _ Premrs�pertnrtnumber _ ,; t [� B(5250) Pulitabs_9pboards pad�ewhcels raftles --. . r -` � _ �_ ��Nz ; �_,c,.�'. -% - $--_ _ j.Q�C{S7,m} &naoonty ..- - ._ _� � _ . - � - - . .� - - i;.< e . , ; � Q � � ($550) Raffles oniy _ -.- - - - . r...q.a� ar^� .�nr�a°" �.- � , "' �'��r a. �` .� r; ^�n s^�s . cr -w y iy. . _ E-.. � ..- � . �T'�Gi.TII2[i�1#l#��I�fOi'[T�Ci�O,J�,� � ��r�'�jtx�� '���'��� 5 �����Z�r'�"�r���'� ��. ,� .�ti ��;5'��'�� : � H ��j- 2 Name of Ckgamzaton _ " ._ = . � � - . _- _ _ q- _ . West Side Booster Club '��">r= _� c--- -2 J �_,-�:: :- Busness Address of Organ�zaaon - Street or P. Q Box (Do not use the address of yow gamblmg manager) 209 West Page Street, . ; . .. , _ ._ -� - _ _ -. - -. -. Ciry � • _ � -� , ; . State Zp Code - _ County ,. - Daytime phone number St. Pau14 y MN 55107 � Ramsey (613 578 2830 . Name of chief exeeutive otficer (pnnot be your gambGng manager) Title - _ __ . Daytime pMne number �_ David J. Velasquez- _ ' : _. CEO � � � ��612� 578-2830 Bingo Occasions , :.�, c.�. ,' � .. �.. . :;, -, .,�,.. --_ ._.. _.-;. ,. .,,•_..;. If applytng foz, a class A, or C permit.,fill in days and beginning & ending hours of bingo occasions: ��=: No more thazi seven liingo'occasiozis conducted by pour organizarion per week: �%'c��'' �' �" ` _ DaY .. -. ��nS/Ending Hovis , ; _ Day . Beg(nninB/Ending Hours - - -�3'"E� DaY �. �- �8[nninB /Ebdfng Ho'ius� . t . r r .s,_,-+, .-�-� . ,�.'�.. . ,,.--�.,.._ .. _ - ,. - � ' _ w = " ' - ' _ rF� ) :'�'Y�"�"'a`- _ . _ .. _ _ -, -- , � - i0 � _'C ... : _ :- � : _ to , - .. . _ ,,:> >.� ..; p .S ; t _ f0 � - " - r. � . 'a�=-�-`""� -' i '�''ts.. \ �, - ` � \ xi '�`-- , _ t� - ta - _ ,. ' k�',"�.rr^'r '' � M . �_; '- "�� � - e . tn � If biago w�;l ae�6e coaduct�d, check heie ' x f�". .` � _ �amb �l���i'8� �C�I22f6�8��OII� �.'���^lt `�"� oS8�1��z,m���S��L�y�-e� "`° z-rf a � � „ - ° �^^,'�; " ...�,a �' t " �GZ.'�w�' . ,.i. .� ,. �,::..""'� . a:i� . , : . o . . . �.. - Name of estzbfishmentwhere gambting wdl be cond�cted '��- L2�+t A�e s(do not use a Fas[oftice hox numberr_ _ ��� -`� �� - .. .:o- _.�r�_ ._._,�.._�. _... .,-. -.__ . . _. , . . . . .. . . , _ _ . . ' ":�_� I5 th ; , C� -- � � �. Nari . -. ;��=r�;::'" .� . ° s��.�,��Fa�*i�¢✓. �7� �r _.a*�'ii!s � l..��'n";. . . ., .. , - _ ;.e � -.*,- . . . ., z..d.r., . __ _ . _ . . , . . �. `: � ': '1��'_ s �` ^' ' . ._ . . .. � � - . . .> ,'.�«y..w__v....._...u..._,.. .. .... . _ °-- .. _ _-v. ' '_ ' _ . . Minnesofa Lawful . i � „,:_;. = - - � ._ ,- � Premise Pemut Application Part 2 of 2 ��_� y'� -- - . -_�_�. _:. � _.. ".;:�s _ ` � -� _ - e .�;� , � - .-��Da� - � - " � Jac .__�=��.. =-'9ui � ' � Gambliag Site Autho _ _ on,<_; �:; I hereby conseM that bcel law entoicemerc board or agents of the board, or the commi: revenue or pubi'ic safety, or agents of,tfie d may enter the premises to enforce the_law;; Bank Records Informatioa " � `' .�:�:.� Ttie board is autfiorized_to irispect tFie ban_k gambling axouM whenever necessary to fi requiremenis of cuirenfgambling r�tes and Oath � = . " ' . I deciare that: ,- - _ --., -. _•I have "read this appiicatwn and all inforriia to the board i4 troe accurate and coinplete , .� . _.- - -•aN othec required informai'io h b tulF , Signatur chief rye off�"cer '" .-.._�r� . /..;= � '� _. . ti - - �: _ K , 2 71L7 " I:LV ' �4:�.;.-,s ,::;=, =_ 6ambling = MN 55107__: Manaczer " _ :.:._Vi�e.r.::y:_=----. L;`55075>�'"president . .. Mxsc,:.�;.:.;�x,..,.;�.av�„i:cz•x•;..:,.u.: � . . :���'�df..sv:i�.�,r�?�.Wl.�:§a::P.::'a.":�'�..�x.C" _ ..... ......... ...._ ._:� - cers, the ? �-.► asaume fulf responsibTity for tfie faii and 1awFu1 opera= � ier ot tion of all adivHies W be conduded; - iissioners. -- .� �,,,i�� tamiliarize myeelf with the laws of Minnesota ` :�:_:._; _,...-- --: -, goveining IawtulgambGng and mles of the board and`�_ - `� ._ .. agree, 'rf licensed, to abide by those laws and rules, '- _ oids ot the `;"� �ncluding amendments lo therri; `- -- • - ---- - - - -� '•any changes in application iniormation will be sutimitted - -.�_ __ to the board and bcal unR of government within 10 days of the change; and "' ` ` ' " •lunderstandthatfailureto_providerequirediniormation .;. sulimitted, _; ot pr6viding talse o�Fnisieaduig intoiination iaay result ia:' ��' the dernal or revocaCwn ot tfie I�cense �dosed _ 4 - `'" ' pate '" _ ,. �, � �/ 9/,p � � � [ 1 � ' G� . . . .. 7,:,,. �, L x, > � � � � �» �;, r � �_ rfi`.�.p. t iuu;:' x: , ,� _ . �:. �.d�..�,s.,H..:E1L.. F.ttn +c a::i:n �.y�.?3s..m .'Y.a�.,3�a..,.. :�.